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<br /> NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°deed"restric#ions"
<br /> which may be more restrictiue than Gounty regulatians. The undersigned assumes responsibiii#y for compliance with any
<br /> applicable deed rest�ctions:
<br /> UNLlGENSEQ CONTRAGTOR& AND GONTRACTQR RESPONStBILtT1ES: If the ownec h�s hired a contractor or
<br /> contractors#o undertake work, they may be required to be licensed in accordance with state and local regulations. If the "
<br /> contractor is not licensed as required by law, both the owner and contractac may be cited for a misdemeanor violation
<br /> under sta#e law. If the owner or intended contrac#or are uncertain as to what ticensing requirements may appty for the
<br /> intended work, they are advised to contact the Pasco County 8uilding Inspection Division—Licensing Sectipn at 727-847-
<br /> 8009. �urthermore, if the awner t�as hired a contractor or contra�tors, I18 1S �t�VtS�CI t0 11�YE tI9@ CO(ttt8t�Ot{S} �!{�t}
<br /> portions of the"contractor Blocic" of this application for which they will be responsible. If you, as�the�owner sign as the
<br /> contractor, that may be an indication that he is nat propetly licensed and is not erttitled to permitting priviieges in Pastx�
<br /> County.
<br /> TRANSPORI`ATION IMPACT/U"TILITIES IMPACT AND RESOIJRCE RECOVERY FEES: The undersigned understands
<br /> that Transportatiort lmpact Fees and Recourse Recovery F�es rttaY aPP}l+#o the constrt�ction af new buildings, change af
<br /> use in existing buildings, or ex�►ansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br /> 90-07, as amended. The undersignet� also understands, that such fees, as may be due, wiil be identified at the time of
<br /> petmitting. It is fut#her understoad tha#Transpo[tation tmpacE Fees �nd Resource Reaavery Fees must be paid prior ta
<br /> receiving a °certificate of accupanc�' or final power release. If the prcrject daes nat invalve a certific.ate of occupancy or
<br /> finaf pawer release, ihe fees must be paid prior to perrrtit issuance. Fu�fherma�e, if Pasco County WaterlSewer lmpac#
<br /> fees are due, they must be paid prior#a permit issuanGe in accardanee with applicable Pasco Caunty ardinances.
<br /> CONSTRUCTlON L.IEN tAW(Chapter 713,Florida Statut�,as amended}: !f valuation of wark is$2,5fl0A0 or more, t
<br /> I certify #t�tat t, ttte applicant, have been provided with a copy of the "Flarida Constnucfion Lien Law--Homeowner's
<br /> Protection Guide" pr�par�d by the Flonda Departrnent of Agriculture and Consumer Affairs. If the applicant is sameone
<br />, ofher tfian the°owne�', 1 certify that t have obtained a copy of the abov�described document and promise in goad f�ith to
<br /> deiiver it to the"owne�'prior to commencement.
<br /> CONTRACTC�R'S/QWNER'S AFPiDAVlT: 1 certify tha#aA the informatian in th�s apptEcatian is accurate and that al!work
<br />', wiit be done in camptiance with afl appt�cable iaws regulating construction, zoning and land deveiopment. Application is
<br />� hereby made to obtain a permit to do work and installation as indicated. I certify that na work or installation has
<br /> cornmenced p�or ta issuance af a permit and ittat ail work witl 6e perfartned ta meet stancfards of af! taws regula�ting
<br /> construction, County and City codes, xoning regulations, �nd land develapmen# regulations in the jurisdiction. I also
<br /> cerkify khat 1 understand that the regulations of other government agencies rr►ay apply to the intended work, and ifiat 1#is
<br />� my responsibility#a identify wha#actions i must take to be in co{rapliance. Such agencies inciude but are not limited to:
<br /> - Department of Enviranmental Protecdan-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br /> [.ands,VttatetJWastewater Treatmen#.
<br /> - Sauthwest Florida Water Management District-We�ls, Cypress Bayheads, Wetland Areas, Attering
<br /> W�t6fCOUfS�S.
<br /> � - Army�Corps of Engineers-Seawalls, Docks, Navigable Waterways,
<br /> - Department of Health 8 Rehabilitative Services/Environmental Health Unft Wells, Wastewater Treatment,
<br /> 8eptic Tanks.
<br /> � - US Environmental Protection Agency-Asbestos abatement.
<br /> � - Federat Aviatian Authority-Runways.
<br /> ' t understand that the foiiowing restrictions apply to the use of fill: ,
<br /> - Use of fill is not alldwed in Flovd Zone"V"unless e�ressly permitted. '
<br /> - t# #he fill meterial is ta be used in Fload Zane °A°, it is understood that a drainage plan addressing a�
<br /> "campensating volume" will be submitted at time of permitting which is prepared by a prafessional engineer
<br /> Iicensed#�y the State af FEorida
<br /> if the filt materiai is #o be used in Flood Zone "A" in connection with a perrnitted building using stem wall
<br /> ( construction, !certify that fill wi!!be used only to fiU#he area within tha stem wall.
<br /> - If fiil rrtateriai is to be used in any area, ! certify that use of such fil1 wilt nat adversety atfect adjacent
<br /> properties. If use of#ill is found to adversely affect adjacent praperties, the awner may be cated for violating
<br /> �i ttte corrditions of the build�ng permit issued under the a#tac#�ed permit-applicatian, far tats less than one {1}
<br /> acre which are etevated by fill, an engineered drainage plan is required.
<br /> ' If I am the AGENT FOR THE OWNER, ! promise in good faith to inform the owner of the permitting canditions set forth in
<br /> � this afftdavit prior ta comm�ncing canstruction. 1 understand fhat a separate perrni# may be required fOr electrical wark,
<br /> plumbing, signs, wells, paals, air conditioning, gas, or other installatic►ns not sper.ifically included in the applicatian. A
<br /> pem�it issued sh�11 be construed#o be a license#o proceed with#he work and not as authorify to violate, cancel, alter, or
<br /> set aside any provisions pf the technical cod�s, nor shall issuance of a permit prevent the Building OfFcial from there�fter
<br /> requiring a correction af e�rors in plans, constn�ction or vialations of any codes. Every permit issued shall become�nvalld
<br /> unless the woric authorized by 5uch permit is commenced wi#hin six months of permit issuance, or if wark authorized by
<br /> the perrnit is suspended or abandoned for a period of six(6)months after the time the woric is commenced. An extension
<br /> may be requesterl, in wri#ing, #rarr� #he Build�ng �fficial for a period not to exceed nine#y (90} days and will demanstcate
<br /> justifiable quse for the e�ctensian. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
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<br /> � ^ WARNING TO OWNER: YOUR �AiLURE�TO RECORD A NOTiCE t3F C4MMENCEMENT MAY RFSULT IN YOUR
<br /> PAYING TWIGE FOR IMPROV�MENTS TO YOUR PROP�RTY. IF YQU INTEND TO 08TAIN FINANCING,CONSULT
<br /> 1MTH XtJUR�.ENpER OR AN ATTORNEY BE�ORE f2ECQRDtNG YC?UR NOTICE 4�COMMENCEMENT.
<br /> FLORIDA JURAT(F.S.117.03)
<br /> I OWNEF2 OR At'aFNT COAI7RACTOt� �,,,,�
<br /> Subscribed and swom to(or aflirmed)befare me this Subscribed and swom to(o rmed)bef ine this
<br /> � by �Y
<br /> Who islare persanaily known#o me or hasfiave produced Who Islare persartaily knawn to me or basfisve praduced
<br /> � as identification. as idernification.
<br /> �
<br /> Notary Public Nota Public
<br /> Cqmmission N�. Cammission No. ,�'" Nota PubNc Smte M Fbiida
<br /> . Anne Hilthause `
<br /> y c � My Gammisaion FF 887387
<br /> ' Neme of Notary typed,prirrted or stamped Name of Notary typed,pri P"8S
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